I thinlung chungchang hriat theihna tur scan bik! (Cardiac Computed Tomography - CT Scan) Kan sawi dawn em ni?

Vawiin hian i thinlung chungchang tam tak hriat theihna tur special scan chungchang kan sawi dawn a ni. Chu chu cardiac `CT` scan (Cardiac Computed Tomography - CT scan) tih a ni. I doctor-in hetiang ti turin a ti che a ni mai thei, a nih loh leh khawi emaw laiah i lo hre tawh a ni mai thei. Chuvangin eng nge a nih, engtin nge a tih tih te, i neih hmaa i hriat tur te, a thatna leh that lohna te hi han thlir ila.

Cardiac CT scan tih hi eng nge ni?

A awlsam zawngin sawi ila, cardiac CT scan hi X-ray test chi khat bik a ni a, kawng hrang hrang atanga X-ray beam tam tak hmangin i thinlung, a inzawmtu vessel ropui tak tak leh a chhehvel tissue te chu chiang tak tak, three-dimensional image a siam chhuak thin.

Doctor ten CT technology thar ber ber hmangin he `Cardiac CT` scan hi an ti thin. A châng chuan, i vein-ah hian tui bik (intravenous (IV) contrast / dye) an inject ṭhin. Hei hian thinlung insiam dan leh a kaihhnawih thisen kalna kawngte chu chiang zawkin a hmu thei a ni. He multi-slice scanning method hmang hian doctor te chuan i thinlung che leh thisen kalna kawng lian tak tak te chu quality sang tak tak, three-dimensional image a hmu thei a ni.

Thinlung CT scan hian eng nge a hriat theih?

He scan atang hian i doctor hian i thinlung chungchanga thil tam tak a hrethiam zawk thei a ni. Entir nan:

• I thinlunga thisen pe chhuaktu coronary arteries dinhmun.
• Heart chamber, heart muscle leh heart valve te hnathawh dan.
• Pulmonary veins awm dan .
• Thoracic aorta leh a chang chuan abdominal aorta ah harsatna a awm leh awm loh .
• Thinlung chhehvela venhimna bawm (pericardium) .

Heng zawng zawng hi he scan-ah hian chiang taka hmuh theih a nih avangin doctor tan chuan i thinlung hriselna chungchanga thutlukna tha tak siam turin a pui hle ang.

Engtikah nge cardiac CT scan neih a ngai?

Cardiac CT scan hian imaging test dang aiin data chipchiar zawk leh chiang zawk a pe thei a ni. I doctor hian he scan hi a order theih chhan hrang hrang a awm. Eng nge an nih hi han thlir ila:

• I rilru natna emaw, thawk hah lutuk emaw chhan chu zawng chhuak rawh.
• I thinlung thisen kalna kawngte chu calcium emaw plaque emaw a awm leh awm loh enfiah la, a tawi emaw, a khar emaw a awm leh awm loh enfiah rawh.
• I thinlung valve hnathawh dan tehfung siam rawh.
• I aorta-a harsatna awm leh awm loh enfiah la, chu chu aneurysm emaw dissection emaw a ni .
• Open heart surgery emawMinimally invasive/robotic heart surgery neih dan tur ruahmanna siam rawh.
• Transcatheter/percutaneous valve hmanga tih dan tur ruahman rawh .
• Heart rhythm mumal lo a awm chuan arrhythmia ablation dan tur ruahmanna siam rawh .
• Chutiang surgery emaw enkawlna emaw hnua harsatna awm thei te chu tehfung siam rawh.
• Congenital heart problem i neih leh neih loh enfiah rawh .
• Thinlung chhungah emaw, a chhehvelah emaw tumor emaw mass emaw a awm em tih leh a nihna chu eng nge ni tih zawng rawh.
• Thinlung (pericardium) chhehvela sac chu tui a awm leh awm loh (`fluid`) emaw, calcium a awm leh awm loh (`calcification`) enfiah thin ang che.

Ngaihtuah teh, i pa u chu a rilru a na reng a, doctor-te pawhin a chhan dik tak an hre thei lo. Hetiang hunah hian `CT` scan hian thu \angkai tak tak a pe thei a ni.

Cardiac CT scan hi tuin nge ti thin?

A tam zawkah chuan i cardiologist chuan he cardiac CT scan hi a rawt ang. Mahse, scan an tihna hmunah hian healthcare team hran an awm a, chu chuan i tanpui thei ang. Anni chu:

• Technician: Heng mite hi CT scanner enkawltu leh thlalak latu te an ni.
• Nurses: A tul chuan nurse te chuan i kut vein pakhatah `IV` line an dah ang a, damdawi an pe ang.
• Doctor-te: Doctor-te chuan scan chu an enfiah a, thlalakte chu an zirchiang a, report an pe (`interpret the scan`).

He scan hi lak tur chuan damdawi in emaw, `medical imaging` lama specialized hmunah emaw i kal a ngai a ni.

Engtin nge cardiac CT scan hian hna a thawh?

A awlsam khawp mai. Scanner khumah i mut lai chuan X-ray beam chu a rawn inher kual vel a. Mahse i taksa a deng lo. Machine hnathawh lai hian buzz emaw click ri emaw tlem i hre mai thei. Computer chuan heng scan images te hi a thlunzawm a, i thinlung chu three-dimensional (3D) image a siam a ni.

Cardiac MRI leh cardiac CT hi eng nge an danglamna?

Cardiac MRI test tih i hre tawh mai thei. Cardiac MRI leh cardiac CT pahnih hian thinlung chipchiar takin thlalak a siam thei a, mahse test pahnih inkarah hian danglamna tlemte a awm. Eng nge an nih i han thlir teh ang.

• Machine chhunga i luh chuan CT machine chu MRI machine aiin a inhawng zawk . Chumi awmzia chu mi thenkhat chu MRI machine chhunga an awm hian an inkhar lo zawk tihna a ni.
• MRI scan hian CT scan aiin a rei zawk .
• CT scan-ah chuan X-ray radiation hman a ni a , mahse MRI-ah chuan radiation hman a ni lo.
• CT machine hi MRI machine aiin a reh zawk .
• Contrast medium pek i nih chuan CT scan-ah iodinated contrast medium hman a ni a, MRI-ah chuan gadolinium-based contrast medium hman a ni thung.

Chuvangin, eng scan nge i tan a tha ber tih chu doctor hian a rel thin.

He test atan hian engtin nge ka inbuatsaih ang?

I cardiac CT scan hma ni leh ni khatah doctor thupek dik tak i zawm tur a ni a, ei leh in tur leh damdawi ei tawh loh tur chungchangah te pawh i zawm tur a ni.

Ei leh in chungchang

• Test ni hian i hun ruat hma darkar li atanga darkar ruk chhung engmah ei loh tur . Tui chauh i in mai thei.
• Test hma ni khatah emaw, test ni khatah emaw caffeine awmna in tur engmah in loh tur . Hei hian coffee, tea, energy drink in loh tihna a ni.
• Test hma ni khatah emaw, ni khatah emaw energy pill emaw diet pill emaw hmang suh . Hemi chungchanga zawhna i neih chuan doctor zawt la.

Damdawi chungchang

• Hmun tight- a hlauhthawn nei i nih chuan scan laiin i rilru a hahdam thei tur damdawi zawt la.
• I damdawi ei zawng zawng, non-prescription damdawi pawh nise, i doctor hnenah hrilh rawh.
• Test hma ni khatah emaw, ni khatah emaw Sildenafil (Viagra® emaw Revatio®) emaw, a ang chi damdawi emaw ei suh, hengte hian test neih chhunga damdawi pek tur che nen a inzawm thei a ni. Hemi chungchang pawh hi i doctor zawt la.
• If you have diabetes , i doctor hnenah test ni-a i damdawi hman dan tur zawt rawh. I thisen sugar a hniam nia i hriat chuan doctor hnenah hrilh nghal rawh.

Test ni hian eng nge beisei tur?

I cardiac CT scan hmain i doctor chuan heng thilte hi a hre duh ang:

• Naupai i ni em?
• Iodine leh/ emaw shellfish , emaw damdawi dang emaw allergy i nei em?
• Tunah hian radiation therapy i la mek em ?
• Kum 60 aia upa i nih chuan , emaw, tun hmaa kal lama harsatna i neih tawh chuan, contrast fluid pek hmain i kal hnathawh dan enfiah turin thisen test i neih a ngai mai thei.

CT scan atana inbuatsaihna

• I jewelry kha phelh la, in lamah dah rawh.
• Damdawi in atanga special pek che uHospital gown i ha tur a ni.
• Doctor chuan i heart rate ti hniam thei damdawi a pe thei che a ni mai thei .
• Contrast (dye) fluid pek i nih chuan nurse chuan i kut vein pakhatah IV line a dah ang. He fluid hi scan image-ah i thisen kalna kawng leh thinlung chiang taka lantir tu a ni.
• Khum bik chungah mu turin siam i ni ang a, khum chu zawi zawiin CT scanner lai takah circular opening-ah an sawn ang.
• Doctor chuan i rilru hmun thum vel a tifai ang a, chutah chuan electrode patch te te, sticky tak tak a rawn hnawih ang. Heng electrode te hi a stick tha theih nan i rilru chhunga chu hmuna sam thenkhat chu i trim a ngai mai thei.
• Heng electrode te hi electrocardiogram (EKG) monitor -ah an inzawm a, chu chuan test laiin i thinlung electrical activity a record a ni.
• Test zawh hma loh chuan i kut chu i lu chungah dahin scanner bed-ah mu turin an ti ang che. I lu leh ke chu scanner pawnah a awm ang.

A pawimawh ber: Hemi hun chhung hian ngawi renga awm reng a, thupekte uluk taka zawm a pawimawh hle. Chumi hnuah chauh chuan thlalak chiang tak tak i hmu thei ang.

Test neih chhung hian eng nge thleng?

Full cardiac CT scan hian minute 30 leh 60 inkar a awh thei a, inbuatsaihna hun pawh a tel. Mahse, CT scan tak tak ngei pawh hi a rei deuh a, a tam berah minute 10 vel a ni .

• Doughnut ang maia siam scanner chu i mutna khum chhungah a kal tih i hre ang.
• Contrast fluid pek i nih chuan healthcare provider chuan i IV line hmangin a inject ang. I taksa chhunga tui a kal lai hian lumna tlem a awm hi thil pangngai a ni. Mi thenkhat chuan second tlemte chhung chu an hmuiah metallic taste an nei thei.
• Thlalak chiang tak tak hmuh theih nan chuan i ding reng a, thupekte chu dik taka zawm a pawimawh hle .
• Health care team te nen pawh in inbia thei ang. Hun rei vak lo chhung chu thawk khap turin an ti thei bawk .

Test zawhah eng nge thleng?

Doctor chuan an mamawh image zawng zawng an neih vek hnuah i IV line chu an la chhuak ang. Tichuan i inthlak thei ang a, i haw thei tawh ang.

Test zawhah i thil tih dan pangngaiah i kal thei a, ei leh in i ei thei bawk. Mahse, sedative i ei tawh a nih chuan mi pakhatin a rawn hruai a ngai dawn che a ni.

I doctor chuan chu ni emaw, ni engemaw zat hnuah emaw test result chungchang a sawipui ang che.

He test hmang hian risk a awm em?

CT scan hi risk hniam tak a ni . Mahse, mi thenkhat chuan test-na atana hman contrast fluid emaw thil dang emaw chungchangah harsatna tenau te an nei thei a ni.

Contrast agent / dye hmanga siam a ni

• A tlem berah chuan mi thenkhat chuan contrast fluid (a tlangpuiin iodine a pai) hian nghawng tha lo an nei thei a ni. Mi thenkhat chuan tui an inject hnuah vun natna, rilru hahna, thawk hah emaw, vun natna emaw an nei thei. Heng symptoms te hi enkawl lohvin a bo tlangpui. Mahse, antihistamine, steroid, leh histamine blocker hmangin an thunun thei a ni .
• A tlem hle a, allergy na tak (anaphylactic reaction) a awm thei. Thâwk harsa a thlen thei a ni. Hei hian nunna a tichhe thei a, chuvangin heng symptoms te control nan hian enkawl vat leh damdawi ei a ngai a ni.
• If you have diabetes or kidney disease , scan zawhah extra fluids in turin an ti thei che a, chu chuan i taksa atanga iodine chu a chhuah chhuah theih nan a pui thei ang.
• Cardiac CT scan atana hman contrast medium chu i hnute tuiah a kal thei a, i hnute i pe a nih chuan scan hmain hnute tui tlem tal express hmasa phawt a tha. Chumi hnuah chuan i naute chu scan hnuah ni khat emaw ni hnih emaw chhung chu chu hnute chu i pe thei ang.

Radiation a ni

CT scanner-ah hian X-ray hman a ni. He radiation atang hian hun kal zelah cancer vei theihna a tlem hle . I himna atan radiation i exposure chu a tlem berah dah a ni. Mahse, X-ray hian nausen lo piang chhuak tan a tichhe thei a, chuvangin naupai i nih chuan he test hi a tha lo . A tul chuan i doctor chuan i naute venhimna tur ruahmanna a siam ang.

Heart rate tihhniamna damdawi

Test neihna tur atana i heart rate tihhniamna tur damdawi pek i nih chuan, emaw , asthma, heart failure, emaw chronic obstructive pulmonary disorder (COPD) ang chi natna i neih chuan scan neih chhung hian thawk harsatna i nei thei a ni. Heng natnate hi i neih chuan doctor hnena hrilh a pawimawh hle.

Eng nge a rah chhuah? Eng nge a awmzia?

Scan zawhah result chi hnih a awm thei a, chungte chu normal result leh abnormal result te an ni.

Results pangngai tak a ni

• I thinlung leh thisen kalna kawngte chu a pangngai angin a lang .
• I calcium score chu zero (`0`) a ni. Chu chu coronary artery disease i nei lo tihna a ni a, heart attack neih theihna chance pawh i nei tlem hle bawk.

Results pangngai lo tak a ni

• Coronary arteries-ah hian thau (plaque) leh narrowing (stenosis) a awm a.
• Calcium score sang tak neih hian coronary atherosclerosis i nei tihna a ni .
• Calcium value 100 aia tlem a nih chuan coronary artery disease symptoms na lo tak a awm tih a tarlang.
• 400 aia sang a nih chuan coronary artery disease symptoms zau tak a awm tih a tilang.
• 100 leh 400 inkar a nih chuan moderate level characteristics a awm.
• Vawi tam tak chu, i calcium level chu percentile score angin pek a ni a, chu chuan i kum, i mipa leh hmeichhia, leh i hnam dang test nei tawhte nena khaikhin chuan i dinhmun a hrilh che a ni.
• Thinlung hnathawh emaw valve emaw a thawk tha lo .
• Pericardial disease - thinlung chhehvela bawm chhunga tui awmkhawm (`effusion`) leh pericardium inflammation (`pericarditis`).
• Tumor emaw mass emaw a awm a .
• Congenital heart problem a awm a .
• Thisen kalna kawng chu a lian (aneurysm) , a tear (dissection) , a nih loh leh a tawi (stenosis/coarctation) .

I doctor chuan heng result te hi uluk takin a hrilhfiah ang che.

Engtikah nge doctor ka biak ang?

Test neih chhunga contrast fluid emaw damdawi emaw i pek kha reaction nei nia i hriat chuan emaw, ni engemaw zat hnuah i cardiac CT scan result i dawng lo a nih chuan doctor ko rawh.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Cardiac CT scan emaw CT machine emaw pawh hlau suh . Hei hi noninvasive test a ni a, i doctor hnenah i thinlung leh a chhehvela thil awm dan chungchangah information hlu tak tak a pe a ni.

Results tha ber tur chuan test hmaa ei leh in chungchanga doctor-in a pek dan zawm tur a ni. Tin, test neih chhung hian ngawi rengin thawk khap tlat bawk ang che.

He test hian i thinlung hriselna chungchang tam tak a hrilh thei che a, chuvangin a tul chuan tih hreh suh. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.

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